Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 01063061A | IN |
Y | 207ND0101X | MOHS-Micrographic Surgeon | 01063061A | IN |
N | 207NS0135X | Procedural Dermatology | 01063061A | IN |
NPI | 1164580973 |
---|---|
Provider Name | Dr. Michael Edward Murphy |
First Address | Greenwood, IN 46143-1071 |
Second Address | Greenwood, IN 46143-1050 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2006 |
Last Update Date | 06/03/2015 |